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1396721114
GREGORY G KHURTSIDZE
LONGVIEW, WA
NPI
1396721114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA 42032)
Enumeration Date
2005-12-22
Last Update Date
2007-07-08
Business Address
Dr. GREGORY G KHURTSIDZE M.D.
1706 WASHINGTON WAY
LONGVIEW, WA 98632-2952
Phone number: 360-423-9580
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Mailing Address
Dr. GREGORY G KHURTSIDZE M.D.
PO BOX 1338
LONGVIEW, WA 98632-7785
Phone number: 360-423-9580
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